ABSTRACT
It’s nearing the end of a Friday evening in the emergency department (ED) and lying on the trolley in front of me is a 47-year-old man who has attended complaining of breathlessness and a sharp left-sided chest pain. I’m tired and I want to go home, but even as a consultant in emergency medicine, I’m made anxious by the knowledge that chest pain is one of the ‘banana skins’ of our profession.
